Rives-Stoppa Retromuscular Repair for Incisional Hernia
48227 views
Massachusetts General Hospital
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Surgical Approach
- 3. Incision and Access to the Abdominal Cavity
- 4. Hernia Sac Dissection and Excision
- 5. Posterior Rectus Sheath Dissection
- 6. Posterior Rectus Sheath Closure
- 7. Check for Hemostasis
- 8. Mesh Placement
- 9. Placement of Drains
- 10. Anterior Rectus Sheath Closure
- 11. Excise Redundant Skin
- 12. Closure
- 13. Post-op Remarks
- Left Posterior Rectus Sheath Incision
- Development of Left Posterior Rectus Space
- Right Posterior Rectus Sheath Incision (Part 1)
- Skin Incision Extension
- Further Cephalad Dissection
- Further Lateral Dissection
- Right Posterior Rectus Sheath Incision (Part 2)
- Development of Right Posterior Rectus Space
- Measure Area
- Prepare Mesh
- Transfascial Sutures
- Subcutaneous Drain Placement
- Close Skin
